Radiotherapy and Anesthesia

Gourkanti, Bharathi; Mulvihill, David; Kalariya, Jill; Li, Yue

doi:10.1007/978-3-319-74766-8_26

Cited by 3 publications

(3 citation statements)

References 25 publications

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“…EBRT treatments are also of significantly short duration (<15 minutes), and there is usually a need for multiple repeated procedures. 2–4…”

Section: Discussionmentioning

confidence: 99%

“…EBRT treatments are also of significantly short duration (<15 minutes), and there is usually a need for multiple repeated procedures. [2][3][4] For most radiation treatments for head and neck cancer, patients wear a fitted mask (Figure ) that helps prevent movement and allows for precise targeting of the radiation. 5 The radiotherapy mask is created at the beginning of a patient's treatment cycle, usually from thermoplastic mesh.…”

Section: Discussionmentioning

confidence: 99%

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Decreased Cerebral Perfusion Under Anesthesia During Radiation Treatment: A Case Report

Patel¹,

McAdoo²,

Eaton

et al. 2022

A&A Practice

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Radiation therapy allows patients to receive focused radiation to a tumor. Some patients require anesthesia for their daily treatments. For head and neck tumors, a thermoplastic mask is created to minimize movement. We describe a case where a patient’s neck circumference increased during the course of treatment. Given that the patient was under anesthesia for each treatment, he was not able to relay the tightness of the mask. This led to cerebral hypoxia. Cerebral oximetry confirmed this diagnosis, and the patient’s mask was refitted—remaining anesthetics were uneventful. Mask fitness should be reassessed during the treatment series.

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“…EBRT treatments are also of significantly short duration (<15 minutes), and there is usually a need for multiple repeated procedures. 2–4…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Decreased Cerebral Perfusion Under Anesthesia During Radiation Treatment: A Case Report

Patel¹,

McAdoo²,

Eaton

et al. 2022

A&A Practice

View full text Add to dashboard Cite

show abstract

“…An ideal method for pediatric sedation should be reliable, provide an amnesic effect, reduce anxiety, and offer immobility and analgesia. 3,4 While producing these effects, it must not depress respiratory and cardiovascular reflexes. The drugs should have a short onset and duration time, and their dosage should be adjusted based on the patient's response.…”

Section: Introductionmentioning

confidence: 99%

Ardışık pediatrik radyoterapi seanslarında sevofluran insüflasyonu ve intravenöz ketamin kullanımının başarısızlık oranı açısından karşılaştırılması: çapraz bir çalışma

GÜVEN AYTAÇ

2023

J Med Palliat Care / JOMPAC / jompac

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Aim: Childhood cancers are often treated with radiotherapy. During radiation therapy, sedation is often required for immobilization, especially for young children and patients with mental disabilities. Our study aimed to compare the efficacy of sevoflurane insufflation and intravenous ketamine for sedation during pediatric radiotherapy. Materials and methods: This prospective, randomized, cross-over study was conducted between August and December 2020 on pediatric patients (1 month to 18 years) requiring sedation or general anesthesia for radiotherapy. 352 repeated sessions were conducted in the study involving 18 patients who participated. Two groups were categorized by session: ketamine (Group K) or sevoflurane (Group S). Results: The study included the evaluation of 352 sessions for 18 patients Although there was no significant difference in procedure times between Group S and Group K during the sessions (p>0.05), Group K showed a significantly longer discharge time, higher failure rate, and higher score sedation scale in comparison to Group S (p

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Review of cancer therapies for the perioperative physician

Dabo-Trubelja

Gottumukkala

2023

Perioper Med

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Advances in cancer treatments over the past decades combining chemotherapy with novel technologies in immunotherapies, radiation therapies, and interventional radiology have prolonged life expectancy. Patients have more options for treatments of their primary or metastatic diseases. Increased procedural techniques amid an aging population with multiple comorbidities present risks and challenges in the perioperative period.Chemotherapy remains the mainstay of cancer treatment, can be given intraoperatively, and is combined with other treatment modalities. Immunotherapy is particular to cancer cells while being less toxic to healthy cells. Cancer vaccines stimulate the immune system to stop disease progression. Oncolytic viruses enhance the immune system’s cytotoxic effect and show promise to halt metastatic disease progression if present in the perioperative period. Novel techniques in radiation therapy combined with traditional treatments show enhanced survival. This review focuses on current cancer treatments encountered in the perioperative period.

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Radiotherapy and Anesthesia

Cited by 3 publications

References 25 publications

Decreased Cerebral Perfusion Under Anesthesia During Radiation Treatment: A Case Report

Decreased Cerebral Perfusion Under Anesthesia During Radiation Treatment: A Case Report

Ardışık pediatrik radyoterapi seanslarında sevofluran insüflasyonu ve intravenöz ketamin kullanımının başarısızlık oranı açısından karşılaştırılması: çapraz bir çalışma

Review of cancer therapies for the perioperative physician

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